Podcast
Questions and Answers
Braiding funds allows community organizations to maintain the specific program identity of each funding source.
Braiding funds allows community organizations to maintain the specific program identity of each funding source.
True
Blending funds requires maintaining program-specific identities for each funding source.
Blending funds requires maintaining program-specific identities for each funding source.
False
Federal grants are generally easy to apply for, with minimal resource requirements.
Federal grants are generally easy to apply for, with minimal resource requirements.
False
Medicaid section 1115 demonstrations can be used to approve experimental projects that promote the objectives of the Medicaid program.
Medicaid section 1115 demonstrations can be used to approve experimental projects that promote the objectives of the Medicaid program.
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HRSN services in Medicaid waivers are only available in three states.
HRSN services in Medicaid waivers are only available in three states.
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Providing medically tailored meals can often be financed through specific health program grants.
Providing medically tailored meals can often be financed through specific health program grants.
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The Administration prioritizes ensuring funding can be used flexibly for addressing social determinants of health.
The Administration prioritizes ensuring funding can be used flexibly for addressing social determinants of health.
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Complex funding rules make it easy for community organizations to maximize their impact.
Complex funding rules make it easy for community organizations to maximize their impact.
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Social determinants of health include only economic factors such as income.
Social determinants of health include only economic factors such as income.
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Food insecurity is linked to an increased risk of chronic illnesses.
Food insecurity is linked to an increased risk of chronic illnesses.
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Lower levels of education are correlated with longer life expectancy.
Lower levels of education are correlated with longer life expectancy.
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The Biden-Harris Administration has no plans to address social determinants of health.
The Biden-Harris Administration has no plans to address social determinants of health.
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Housing stability can positively impact health outcomes for individuals with HIV.
Housing stability can positively impact health outcomes for individuals with HIV.
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Environmental factors, such as exposure to pollutants, do not affect health.
Environmental factors, such as exposure to pollutants, do not affect health.
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Disparities in health outcomes can be influenced by various factors including geography and race.
Disparities in health outcomes can be influenced by various factors including geography and race.
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States use demonstrations to provide only long-term nutritional supports.
States use demonstrations to provide only long-term nutritional supports.
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Access to health care is not considered a social determinant of health.
Access to health care is not considered a social determinant of health.
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The demonstrations aim to duplicate existing funding in social need areas.
The demonstrations aim to duplicate existing funding in social need areas.
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Maintaining individual privacy is not a significant issue when sharing social data.
Maintaining individual privacy is not a significant issue when sharing social data.
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The United States Core Data for Interoperability (USCDI) is both a national data standard and policy construct that includes SDOH.
The United States Core Data for Interoperability (USCDI) is both a national data standard and policy construct that includes SDOH.
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CMS has recently prioritized new flexibilities for Medicaid and CHIP funding to address social determinants of health.
CMS has recently prioritized new flexibilities for Medicaid and CHIP funding to address social determinants of health.
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The Biden-Harris Administration is not involved in implementing changes to Medicaid funding for social needs.
The Biden-Harris Administration is not involved in implementing changes to Medicaid funding for social needs.
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A centralized federal data working group is being established to enhance SDOH data collection.
A centralized federal data working group is being established to enhance SDOH data collection.
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Investments in infrastructure and national data standards are expected to decrease the quality of referrals between social care and health care organizations.
Investments in infrastructure and national data standards are expected to decrease the quality of referrals between social care and health care organizations.
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In November 2023, CMS released the Medicaid and CHIP HRSN Framework.
In November 2023, CMS released the Medicaid and CHIP HRSN Framework.
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The overall goal of the SDOH Data Working Group is to provide a fragmented approach to SDOH data management.
The overall goal of the SDOH Data Working Group is to provide a fragmented approach to SDOH data management.
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The emphasis of the demonstrations is solely on elderly recipients of Medicaid.
The emphasis of the demonstrations is solely on elderly recipients of Medicaid.
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Addressing Health-Related Social Needs (HRSNs) does not require the integration of data management strategies.
Addressing Health-Related Social Needs (HRSNs) does not require the integration of data management strategies.
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The guidance issued by CMS in January 2021 helps states design services addressing housing-related needs.
The guidance issued by CMS in January 2021 helps states design services addressing housing-related needs.
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Federal support for open industry standards will drive alignment across government, industry, and communities.
Federal support for open industry standards will drive alignment across government, industry, and communities.
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Medically tailored meals are not a part of the programs designed to assist Medicaid enrollees.
Medically tailored meals are not a part of the programs designed to assist Medicaid enrollees.
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Improved data quality has no impact on research, policy development, or implementation.
Improved data quality has no impact on research, policy development, or implementation.
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Social determinants of health (SDOH) have no impact on the health outcomes of Medicaid and CHIP enrollees.
Social determinants of health (SDOH) have no impact on the health outcomes of Medicaid and CHIP enrollees.
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ILOS can be offered as alternatives to existing State plan covered services in Medicaid managed care programs.
ILOS can be offered as alternatives to existing State plan covered services in Medicaid managed care programs.
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The concept of medically tailored meals is aimed at addressing social determinants of health.
The concept of medically tailored meals is aimed at addressing social determinants of health.
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Providers will not receive additional payment for assessing social needs under Medicare.
Providers will not receive additional payment for assessing social needs under Medicare.
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The proposed Medicare codes for SDOH risk assessments were finalized in January 2023.
The proposed Medicare codes for SDOH risk assessments were finalized in January 2023.
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The implementation of ILOS in Medicaid managed care could both improve access to community-based services and reduce the need for acute hospitalization.
The implementation of ILOS in Medicaid managed care could both improve access to community-based services and reduce the need for acute hospitalization.
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Clinician screening for social needs is not considered important in the management of patient care.
Clinician screening for social needs is not considered important in the management of patient care.
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The 2023 guidance encourages states to focus solely on economic factors affecting health outcomes.
The 2023 guidance encourages states to focus solely on economic factors affecting health outcomes.
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Backbone organizations primarily focus on individual service delivery rather than community coordination.
Backbone organizations primarily focus on individual service delivery rather than community coordination.
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Community care hubs are a specific type of backbone organization that centralizes administrative functions.
Community care hubs are a specific type of backbone organization that centralizes administrative functions.
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Backbone organizations encounter no challenges regarding data collection and sharing.
Backbone organizations encounter no challenges regarding data collection and sharing.
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The federal government plans to provide training and technical assistance to community care hubs through a National Learning Community.
The federal government plans to provide training and technical assistance to community care hubs through a National Learning Community.
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Only public funding sources are utilized by backbone organizations to support their operations.
Only public funding sources are utilized by backbone organizations to support their operations.
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Community-based workforce development is an essential function of backbone organizations.
Community-based workforce development is an essential function of backbone organizations.
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Backbone organizations lack the capacity to overcome challenges with supportive policies and governance structures.
Backbone organizations lack the capacity to overcome challenges with supportive policies and governance structures.
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Backbone organizations are irrelevant to the health and well-being of individuals in the community.
Backbone organizations are irrelevant to the health and well-being of individuals in the community.
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Study Notes
The U.S. Playbook to Address Social Determinants of Health
- This document details a strategy to improve the health and well-being of Americans
- Social determinants of health (SDOH) are conditions in the environments where people are born, live, learn, work, play, worship, and age
- SDOH significantly impact health outcomes and quality of life
- Significant disparities exist in health outcomes based on geography, race/ethnicity, age, income, disability, etc.
- The Biden-Harris Administration is committed to improving the health and well-being of all Americans
- The organizational separation of healthcare from social services complicates efforts to address health needs
- The Playbook outlines actions to address SDOH in three pillars:
- Expand data gathering and sharing
- Support flexible funding to address social needs
- Support backbone organizations
Pillar 1: Expand Data Gathering and Sharing
- High-quality data management is essential for addressing social needs and research
- Routine screening for health-related social needs is often not conducted, and data, when collected, is not standardized
- Data sharing and interoperability are key priorities
- Agencies are improving data collection and sharing to facilitate collaboration and innovation
- The collection of SDOH data for health research is being expanded
Pillar 2: Support Flexible Funding for Social Needs
- Many health and social service delivery organizations are funded by multiple sources (local, state, federal)
- Existing funding may not target the drivers of health outcomes
- Federal flexibility is needed to support efforts addressing SDOH
- Guidance is issued to better allocate funds for SDOH needs in areas such as state Medicaid programs.
- Improvements to data collection, coordination, and funding are detailed.
- Implementation of actions to increase access to resources.
- Flexible funding to support efforts addressing SDOH is part of the strategy.
Pillar 3: Support Backbone Organizations
- Backbone organizations play a crucial role in community-based partnerships (healthcare, housing, social services, etc.)
- They face challenges in funding, technical capacity, privacy, and data availability
- The Playbook details initiatives to support the development of community backbone organizations and infrastructure connecting health services with CBOs
- The Biden-Harris Administration is advancing initiatives to strengthen their infrastructure (resources, data, security training)
- Community hubs (as a type of backbone organization) will be supported for better data security, training, and collaborative efforts with multiple agencies
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Description
This quiz explores the complexities of funding in community health organizations, focusing on how braiding and blending funds can impact program identity and flexibility. It also examines the correlation between social determinants of health and funding resources, particularly in relation to Medicaid and health program grants.
